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HomeMy WebLinkAboutKINCAID HEIGHTS LT 2Kintcl,4aid Height1c, •1 1 Municipality of Anchorage Page ! of -� DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: s/ �'� PID Number: Name: Wastewater System: New ElUpgrade Address: 33 ABSORPTION FIELD Phone: No. of Eyrooms: ,Deep Trench ❑Shallow Trench ❑Bed El Mound ❑Other LEGAL DESCRIPTION Soil Rating: 0,0 Total Depth from original grade: 10. 5 GPD/Sc. Ft. Lot: Block: 1 1 Subdivision: I- i= i,+ 5 Depth to pipe bottom from original grade: Gravel depth beneath pipe _ b, 6 I t4 L j \­3`T �� 1 .O Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: r Ft. b' Ft. WELL: ❑ New ❑ Upgrade Gravel width: Number of lines:Distance between Tines: C2-� Ft. Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area:-^7 Pipe material: I Ft. Ft. q f ! -3 SQ. Ft. ­' .G % O , (0?1 . Driller: / JL vYJ � Date Drilled: Static Water Level: Installer: SCeiSDate tL4 installed:n f Ft. Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES 'Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: 1 9-S From Tank Field Station Tank Sewer Lines ( } f/� D Wei 1- J Material: Number ofampartments: ,� Surface L LIFT STATION Water Lot //� t7 �_ Size in gallons: Manufacturer: Line (9Q Foundation"Pump 3 a� — on" level at: "Pu •*off' level at: High water alarm at: Curtain — __ Pump Make & Modelctrical Inspections performed by: Drain Remarks: BENCH MARK Location and Description: Assumed Elevation: Q 1690_—_ Ft ENGINEER'S SEAL Inspections performed by: Dates: is 2nd Department of Health and Human Services approval Reviewed and approved by:4Lq,Date: 72-013 (Rev. 9/91) MOA 25 \ SWING TIES: \ STANDARD SEPTIC SYSTEM: AC 17 FTAD 13 \ 1250 GAL SEPTIC TANK BD 35 —E3 \ DEEP TRENCH AE 20 TOTAL LENGTH 60 FT BE 40 TOTAL DEPTH 10.5 FT AF 58.5 EFFECTIVE ROCK DEPTH 6.5 FT BF 42 \ COVER 4 4 FT \ E sF \ \ REPLACEMENT TRENCH fN D A B fN \ \ BENCH MARKC \ i OF.............. Ar • 49th .0 / �• ••OB EN SPURKLAND W /i ���rJ�,,•�.. No�CE-2225 ,�v~i / / , \ �'RCIFESS P5 0 25 50 75 100 1P5 150 SCALE. 1- =SOF , BENCH MARK, • FINISHED FLOOR GARAGE ASSUMED ECFV. 100.00 FT. IULff1LN JI UKKLANV P.L. KINCAID HEIGHTS LOT 2 SEPTIC SYSTEM AS BUILT 203 W 15TH. AVENUE DATE. APRIL 10, 2000 ANCH. AK. 99501 DAVID SCHMIDT SHEET: 215 GRID: 2222 907 279-3916 PERMIT # E W 990279 PID # 011-122-02 KIH00022, D WG 0 o REPLACEMENT TRENCH 0 1250 gal Septic tank Standard Trench: 21 Wide 60' Long 10,5' Deep 6,5' Sewer rock 4' Co ver Silt Barrie 6,5 Ft of Septic Effective Founclo tion Clean out NO SCALE DF AV `"'•- '- # AW '� 49th •' �� r 0TOBB, SPURKLAND AV •� No, CE-2225�= .....444VA FESS ••O'��F��i • 1VL/ JI.HLL BENCH MARK: FINISHED FLOOR GARAGE ASSUMED ELEV. 100.00FT T❑BBEN SPURKLAND P.E. KINCAID HEIGHTS LOT 2 SEPTIC SYSTEM SCHEMATIC 203 W15th Ave DATE: APRIL 10, 2000 Anchorage Ak 99501 DAVID SCHM/DT SHEET 279-39,f, _ _ 3/3 GRID: 2222 PERMIT # SW990279 PARCEL ID # 011-122-02 KIH00023.DWG I MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial I �(StLti�1 C) -/c2 -v kDo 6P Date Issued: Aug 16, 1999 Expiration Date: Aug 15, 2000 Permit Number: SW990279 Parcel ID: 011-122-02 Legal Description: KINCAID HEIGHTS LT 2 Design Engineer: 0007 Tobben Spurkland, PE Site Address: 006731 LAUDEN CIR Owner Name: David Schmidt Lot Size: 40208 SQ. FT. Owner Address: 200 West 34 #933 Total Bedrooms: 4 Permit Bedrooms: 4 Anchorage , AK 99503 - This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: T7 Issued By: Date: _ �_ 17 - Date: 94 _9? h )-p- Mik N 1 1L �J'N L1, 1L j-- 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN rF I 1 - -WAS! k2l 4 11 WI: V - DAVID SCVbnWT-- Municipality of Anchorage Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 July 29, 1999 We are submitting an application for the installation of a septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following : No Ground Water or Impervious Layer to 16.5 ft. Use Standard Trench Soil Rating. From Testhole 07/27/99 <1 min/in = 1.2 gal per sq.ft/day Use 0.8 gal No. of Bedrooms 4 Required Area per Bedroom: 15010.8 = 187.5 sq.ft. Total area required: 187.5 x 4 = 750 sqft Testhole depth 16.5 feet Bottom Rock At 10.5 feet Top Rock At 4 feet Rock Depth 6.5 feet Total Trench Length 750 / 13 = 57 ft. USE 60 LF SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 60 FT TOTAL WIDTH 2 FT TOTAL DEPTH 10.5 FT ROCK DEPTH 6.5 FT COVER 4 FT SEPTIC TANK 1250 GAL There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. Subdivision is served by public water system KINCAID ROAD l 3 I , I I Vp�G prl`1 1 rH � l - i 9l, �/ \ I� I 4 5 \\ 7 \ I \ \ )F,U 6 - - 49th av....1i................................... . ..... .............. .... i T❑ EN SPURKEAND•• Sol .� �iC✓J�:•�� No. CE -2225 �'••'••••........ , Fes/ 111W 11 m iiiiiiiiiiiiiiiiiiiiiillillillilI 50 0 50 100 150 200 250 300 SCALE- I' = 100 FT TOBBEN SPURKLAND P.E. KINCAID HEIGHTS LOT 2 SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE DA TE, JULY 29, 1999 ANrCH. 2 11 A7 _999501 113 DAVID SCHMIDT SHEET.- 1/ GRID: 2222 I PERMIT # EV99OXXX PID # XX KIH0002l,DVG I - - - - - ----------------- - --- --- --- - - -------- 1 STANDARD SEPTIC SYSTEM: ` 1250 GAL SEPTIC TANK DEEP TRENCH TOTAL LENGTH 60 FT TOTAL DEPTH 10.5 FT EFFECTIVE ROCK DEPTH 6.5 FT COVER 4 4 FT REPLACEMENT TRENCH ` T OF7H • ♦♦ } ♦� 49th � ♦ . , .'. ... = '*'ice / � y ❑BB N SPURKLAND jAwIV ♦1 FSA; '•• AV � \ 25 0 25 50 75 100 125 150 / \ SCALE- 1" = 50 F , \ TOBSEN SPURKLAND P.E. KINCAID HEIGHTS LOT 2 SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE DATE. • JUL Y 29, 1999 ANCH. AK. 99501 DAVID SCHMIDT SHEET.- 21J GRID: 2222 (907) 279-3916 11 I PERMIT # SW 990XXX PID # XX KIH00022,DWG I PRIMARY TRENCH Standard Trench. 2' Wide 60' L ong 10.5' Deep 6.5' Sewer rock 4' Co ver REPLACEMENT TRENCH Silt Barrie 6,5 f t o f Sep tic Effective NO SCAL E a- 0 0 0 1250 gal Septic tank c cs Q, V Q� s 0 Q) VA% •�.��� OF., q� 4, 49th !....3 ............................... TOB13IN SPURKLAND (C✓J, No. CE -2225 �= 414, ♦ F• /VL/ 3LHLL T❑BBEN SPURKLAND P.E. KINCAID HEIGHTS LOT 2 SEPTIC SYSTEM SCHEMATIC 203 W15th Ave DATE: JULY 29, 1999 Anchorage Ak 99501 DAVID SCHMIDT SHEET: 31j GRID: 2222 PERMIT # SW9800XX PARCEL ID # XX KIH00023.DWG PERFORMED FOR Munl;if: ality of Anchorage DEPARTMENT OF -tEALTH & HUMAN SERVICES 825 "L" Street, Aizchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION! TEST (ENGINEER'S SEAL) IT JJ vvaLu�CG �•flC�`Y ✓A Lf-�_}-{ 1 ) DATE PERFORMED: �//�4/ LEGAI. DESCRIPTION: i -o 1 Township, Range, Section: 1 / 2 3 5 6 - 7 8- 9 10 11 12 14 E t 1� 1+ 1S SLOPE SITE PLAN LpC'-y" m FI N.2- Ott.. � }� 9 4�1 --,> 14 15 it 16 , 17 - M Or 13- IN 3 IN WAS GROUND WATER " I — ENCOUNTERED? S L IF YES, AT WHAT O 1 e D-_i'TH? _ P 1- E De(..F to Water Alter j Moliloring7 r` Dale: Fcadin� Date Gross Net Depth to Net Time Time Water Drop vYI i y1 /12 20 ,t PERCOLATION RATE < I (minutes/inch) PERC HOLE DIAMETER TLST RUN BETWEEN b FT AND - ? FT DISCLAIMFRi Groundwater co-nditions indicated are for the dates shown only. Past and future presence &,--td/or depth of gro�,ndwater can not be predicted rom these observations. _ PERFORMED BY: 1. S _._._ 1 - s' - _ CERTIFY THAT THIS TEST gWAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GL!!" ELINES IN EFFECT ON THIS DA117. DATE: 7/o/g71q / 72-008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 011-122-02 Expiration Date: 2- 2 ' 2-© 1. GENERAL INFORMATION Complete legal description Kincaid Heights Sub, Lot 2 Location (site address) 6731 Lauden Circle Current property owner(s) Mailing address Real estate agent Rhianne Christopherson Day phone (907) 223-9202 6731 Lauden Circle, Anchorage, AK 99502 Jennifer Bohannon 2. TYPE OF DWELLING: ❑N Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone (907) 521-0839 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic ❑■ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ $550. Waiver Fee $ Date of Payment M —5- 2 1 Date of Payment Receipt Number M (' 13,TD Receipt Number COSH # OSC211089 waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone (907) 522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503 Engineer's Printed Name Benjamin Schiller Date 3/4/21 OF :4C�`tl - j * 49 TH *i 6. DSD SIGNATURE 1 ' System #1 Approved for bedrooms 7..Benja' ' ' mjnf5chiller System #2 Approved for bedrooms ��<`��s� • • CE 12592 Disapproved ll� pROFESSIOO� Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: Z z The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSA Checklist blue sheet Nitrate Advisory Arsenic Advisory - ,- Other uf cc -or/ Legal Description: Kincaid Heights Sub, Lot 2 If more than 1 septic system on lot: COSA Checklist # A. WELL DATA �drilled h Onsite (or attached) Dat Total depth ft Casedto ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments Connected to AWWU Public water B. TANK DATA Age of tank(s) 21 years Tank type/material STEEL Measured operating fluid level in septic tank 49 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 2/1`8/21 Isaacs Pumping D. ABSORPTION FIELD DATA Deep Trench Which system tested (date installed) 2/29/00 ❑ ALL standpipes present per record drawing Total measured depth from grade 11.5 ft (max) Measured depth to pipe invert from grade 5.1 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field. ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 011-122-02 of Structure served by this system 1 Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative &trate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station N/A years Lift station material N/A Comments: Adequacy test date 2/26/21 Results E✓ Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 700 gal New depth 72 in Elapsed time 1440 min Final fluid depth 3 in Absorption rate '600 gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' [D Yes Community Sewer Manhole/Cleanout > 100' r, Yes if No ft ❑✓ Yes if No ft Neighboring Tank > 100' 2/ Yes if No ft Private Sewer/Septic Line > 25' F,7( Yes if No ft Absorption Field on Lot > 100' 0✓ Yes if No ft Holding Tank > 100' Fv Yes if No ft Neighboring Absorption Fields > 100' Yes if No ft Water Main > 10' Animal Containment > 50' �✓ Yes if No ft �✓ Yes if No ft ✓V Yes if No ft Water Service Line > 10' ❑✓ Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway comment below Community Sewer Main > 75' P/ Yes if No ft M✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' [D Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' ✓v Yes if No ft Wells on Adjacent Lots: F71 Absorption Field > 5' [✓ Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' ✓V Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' E✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' F71 Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' M✓ Yes if No ft Community Wells > 200' R✓ Yes if No ft Surface Water > 100' ✓l Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet �t4 4� TH • Benja • . • chiller .' 1 �F� •. CE 12592 `� ��<cq• . 03/04/21 , . •���Aw FloPROFESS1 Septic Tank Advisory Certificate of On -Site Systems Approval # OSC211089 Subdivision: Kincaid Heights, Lot: 2 The septic tank for this property is 21 years old. The average life for a steel septic tank is 20 years. Typical replacement costs range from $7,000 to $11,000. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. March 9, 2021 aE E E R I N G PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) FORGECIVII.COM MOA Development Services, On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Kincaid Heights Subdivision, Lot 2 — 6731 Lauden Circle Septic system evaluation Dear On -Site Services Engineer: We were asked to test this system in preparation for the COSA. Preliminary results indicated that the trench was close to full and near failure. Prior to our testing, a septic pumping company pumped the tank and the trench, and thoroughly cleaned out the septic lines. At the time of our inspection, the trench was empty and did absorb the required amount of water to pass the test. We are satisfied with the results of the testing, which clearly demonstrated that the system is currently functioning as designed. If the system is cared for, with the tank regularly pumped and no harmful materials dumped into it (fats, oils, grease, etc.) it could continue to absorb and treat the required effluent. However, it is our opinion that the trench may be nearing the end of its useful life and could still fail in the near future. Sincerely, Benjamin=,$chiller, PE • • A.'. B V i •, �� Municipality of Anchorage ` _. . On-Site Water and Wastewater Program 4 la (907)343-7904 SAFETY Certificate of On-Site Systems Approval Parcel I.D. 011-122-02-000 Expiration Date: &--:4? 1. GENERAL INFORMATION Complete legal description Kincaid Heights L2 Location (site address) 6731 Lauden Cir Anchorage, AK 99502 Current Property owner(s) David Schmidt Day phone 907-3304450 Mailing address 200 W. 34th Ave #933 Anchorage, AK 99503 Real Estate Agent Aaron Asbury Day phone 907-231-1159 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual E Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System Q Public Sewer ❑ WaiverNariance request for: Distance: Received by: frhilDate: G -COSA to be releasegi ,un e otherwise requested by the engineer. COSA Fee $ 6-2( Waiver Fee $ Date of Payment 511(e,,116 Date of Payment Receipt Number Z-L[ 1 f Receipt Number COSA# t5 Ci 12(o Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Alaska Rim Engineering, LLC. Phone 907-745-0222 Address 9131 E. Frontage Rd Palmer, AK 99645 Engineer's Printed Name Norman K Gutcher Date 5/15/201.8 ®. jr. '� . • o. g* :49T rM �.o* fp go.oi oao.ueoae•oao00 •• • 6. DSD SIGNATURE os ► , 14 4.•.i 7 At Y_ Norman-K.Dutcher ; 2 System #1 Approved for bedrooms v 4.' ...-.:;CE.. -4919 °x`410/ System #2 Approved for bedrooms (t�F11)`'`•o, ��; Disapproved btj%mr,.7w-•Fv•aoa*sGs%„,� Conditional approval for bedrooms, with the following stipulations: \- 'i OF•ti/V.• \ / '� ON SITE %... WATER AND rt' r WASTEWATER z c� PROGRAM �£' 7o ,,,.,,.,_ <`-' r'r1\its" 1 / /' B 'IL-J _�� Original Certificate Date: ( LI _ • The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory ' Septic System Advisory . Arsenic Advisory' Well Flow Advisory Other ' COSA blue sheet_C c If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Kincaid Heights L2 Parcel ID:011-122-02-000 A. WELL DATA Well type Public If A, B, or C provide PWSID# AWWU Well Log(YIN) Date completed Sanitary seal (Y/N) Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height(above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/ Steel Date installed 2/29/2000 Tank size 1250 gal. Number of Compartments 2 Cleanouts(Y/N) Y Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) N Date of pumping 5/8/2018 Pumper Around The Clock Pumping C. ABSORPTION FIELD DATA Date installed 2/29/2000 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 GPD/Sq.Ft. System type Deep Trench Length 61 ft. Width 2 ft. Gravel below pipe 6.5 ft. Total depth 10.5 ft. Eff. absorption area 793 ft2 Monitoring tube Y Depression over field N Date of adequacy test 5/11/2018 Results(Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 47.5 in. Water added 623.8 gal. New depth 64.5 in. Elapsed Time: 1462 min. Final fluid depth 47.5 in. Absorption rate >= 623.8 g.p.d. Non Known Any rejuvenation treatment(past 12 mo.)(Y/N &type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access(YIN) "Pump on"level at in. "Pump off"level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer/septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation toy Property line 5'+ Absorption field 5'+ Water main 101+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200 + ABSORPTION FIELD ON LOT TO: Property line 1 0Y+ Building foundation 10'1 Water main 10+ Water Service line 10'T Surface water 1001 Driveway,parking/vehicle storage 101+ Curtain drain 501+ Wells on adjacent lots 200'+ F. COMMENTS The Monitor tube is approximately 18" filled in. " `� \ '1 G. ENGINEER'S CERTIFICATION \fir o ° .4;'��' ?, 1 certify that I have determined through field inspections and F',•t °.:�.:: ,:•. ss7.2 a "� review of Municipal records that the above systems are in ,,,t;,,.,, a,a.,,:.:,•;y°op.:1,, ...,, conformance with MOA COSA guidelines in effect on this date. •1=•% "+ ' ''o � /un fel n+tin e+�s'f.'� a F.el. •. %-.yi-L Norman K Gutcher ' <U^'r• ,toK.' ler uI Gd Engineer's Printed Name o y%I 5/15/2018 Date •}j•; c',, "°0 COSA canary sheet_2-6-15.doc KINCAID ROAD • 0 o L() Ln N89° 55' 00"E 178.00' i[ 10' ELECTRICAL&TELECOMMUNICATION EASEMENT LOT 2 00 t` N 2 CO W LOT 1 N 5 CO 1 N emfircr o to 22.3' • N LOT 3 0 .':::.......ti. .... :.': N EXISTING 4 6.0'b MIIIIIIIIIIi HOUSE $�, ......'. 16 0 20.0' 16.3'4, j�j� NIINIIIIN O 4P. O� UTILITY BOX 5790 / `-) 0`��� / / . / 7� / / /G\aG\- 15'ELECTRIC&---- , / aa�F��Opp TELECOMMUNICATIONS X§),.... '�� Q ..,:-.....,:.16.11% EASEMENT i ooQ'� ' � 5'SNOW EASEMENT / '�: . 49TH %\ •.-7 0 s o49 � p� / VA / // i, p V . STEVEN CALLAG 'N Q 5',. LS-12034 �}•' �a'p � ��a �r�/zoYl/a��� NOTE: �ArOfessiono\ \'oma 1) THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN pOpp0000� WITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH. 2) PER PLAT NOTE.THERE WILL BE NO VEHICULAR ACCESS TO KINCAID ROAD FROM LOTS 1,2 AND 3. ORDERED BY: AARON ASBURY PARCEL#: 011-122-02-000 SURVEY CERTIFICATION:LCG LANTECH,INC HAS CONDUCTED A PHYSICAL SURVEY OF THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE LEGAL DESCRIPTION: ADDRESS: 6731 LAUDEN CIRCLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO ENCROACHMENTS EXIST OTHER THAN NOTED. AS-BUILT EXCLUSIONARY NOTE:IT IS THE OWNERS'RESPONSIBILITY TO DETERMINE THE LOT 2 EXISTENCE OF ANY EASEMENTS,COVENANTS,RESTRICTIONS OR RIGHT-0F-WAY TAKINGS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO KINCAID HEIGHTS SUBDIVISION CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION,FOR ESTABLISHING PROPERTY LINES,OR FOR PLOT-PLAN PURPOSES. LEGEND: 250 H Street CLEAN OUT#CO- ���Overhang CM .::.Asphalt':.'.': Anchorage,Alaska 99501 WATER VALVE /, Wood Deck Concrete WORK ORDER: 18055 �,.' ,�- „� FENCE X Survey Department Phone 562-5291 DRAWN DATE: 05/29/2018 1., ��'rl"� Inc Mainline DRAWN BY: ADS PLAT: ______..._9_3:104 a/tc�• en.�Uae.eitir,�•Au11.+.�etiing Phone 243-8985 CHECKED BY: SC GRID_ _ SW2222 SCALE: 1"=40' FB/PG:809/14 REF:99L402B